Provider Demographics
NPI:1740450428
Name:MESSING, CHERYL L (MS NP)
Entity type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:L
Last Name:MESSING
Suffix:
Gender:F
Credentials:MS NP
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:L
Other - Last Name:WAGNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:125 LATTIMORE ROAD SUITE 280
Mailing Address - Street 2:FREEDOM OF CHOICE OB GYN SERVICES OF WESTERN NEW YORK
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14620
Mailing Address - Country:US
Mailing Address - Phone:585-241-8935
Mailing Address - Fax:585-241-9868
Practice Address - Street 1:125 LATTIMORE ROAD SUITE 280
Practice Address - Street 2:FREEDOM OF CHOICE OB GYN SERVICES OF WESTERN NEW YORK
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620
Practice Address - Country:US
Practice Address - Phone:585-241-8935
Practice Address - Fax:585-241-9868
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-10
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF420027363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY109348OtherPREFERRED CARE